EMDocs

OCTOBER 19, 2024

We’ll keep it short, while you keep that EM brain sharp. Care Variations and Outcomes for Children Hospitalized With Bacterial Tracheostomy-Associated Respiratory Infections. Hospital Pediatrics. link] The post EM@3AM: Bacterial Tracheitis appeared first on emDOCs.net - Emergency Medicine Education. Rev Infect Dis.

EMS 106

EMS Pediatrics Sepsis Airway Management 106

EMDocs

MAY 25, 2024

We’ll keep it short, while you keep that EM brain sharp. recent hospitalization, residence in a long-term care facility, HIV infection, previous antibiotic use, hemodialysis), then vancomycin , linezolid , or daptomycin should be added. The post EM@3AM: Sialadenitis appeared first on emDOCs.net - Emergency Medicine Education.

EMS 96

EMS Dehydration Operations Hospitals 96

St. Emlyn

JUNE 23, 2024

St.Emlyn's - Emergency Medicine #FOAMed Background Out-of-hospital cardiac arrest (OHCA) is a leading cause of morbidity and mortality globally, with a survival rate of less than 10% despite emergency medical services (EMS) interventions.

Shock 109

Shock Outcomes Hospitals EMS 109

EB Medicine

JANUARY 25, 2025

Eckler, MD discuss the January 2025 Emergency Medicine Practice article, Alkali Exposure: An Evidence-Based Approach to Diagnosis and Treatment Patient Demographics and Case Scenarios: Types of patients prone to alkali exposure Causes and scenarios leading to alkali exposure (e.g.,

Poisoning 78

Poisoning EKG/ECG Airway Management Resuscitation 78

The Skeptics' Guide to EM

SEPTEMBER 21, 2024

Naloxone and Patient Outcomes in Out-of-Hospital Cardiac Arrests in California. August 20, 2024 Guest Skeptic: Dr. Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM.

Hospitals 103

Hospitals CPR EMS Outcomes 103

The Skeptics' Guide to EM

JANUARY 13, 2024

Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Association of small adult ventilation bags with return of spontaneous circulation in out of hospital cardiac arrest. Case: You are dispatched to an out-of-hospital cardiac arrest (OHCA). Resuscitation 2023.

Hospitals 105

Hospitals CPR Resuscitation Airway Management 105

ACEP Now

JUNE 21, 2023

emergency medicine (EM) residency training length has been a decades-long dilemma: four vs. three years. First, is three years enough time to become an EM physician? But critical questions remain unanswered when it comes to specialization, career trajectory, and actual competence as an EM physician. 11 What should we take away?

EMS 114

EMS Academics Telemedicine Operations 114

EMDocs

JANUARY 1, 2025

EM@3AM: Retroperitoneal Hematoma Iosif Davidov covers retroperitoneal bleeding in this EM@3AM. We have more exciting posts and changes that will improve your practice of EM! Pain Management of Common Chief Complaints in the ED This post from Nikhil B. Bhana, Clarence Kong, Mani Hashemi, and S.M. Stay tuned for 2025!

Sepsis 74

Sepsis EMS EKG/ECG Hospitals 74

Ken Grauer, MD

AUGUST 26, 2023

ECG #2 was actually done first, at the time the EMS unit arrived on the scene ( at which time the patient was having severe chest pain ). About 20 minutes later ( on the way to the hospital ) — the patient's CP resolved, and ECG #1 was recorded. Figure-2: Comparison between the 2 ECGs recorded in today's case.

EKG/ECG 363

EKG/ECG EMS Hospitals 363

EMDocs

DECEMBER 11, 2024

Facts : A 28-year-old female is seen in the ED of Hospital A for recurrent bouts of severe, intermittent abdominal pain. 5 days later she is seen at Hospital B for similar symptoms. Another 10 days later she is seen at Hospital C , treated a third time for low sodium and discharged, this time with hydromorphone.

Hospitals 92

Hospitals Patient Safety EMS Wellness 92

Ken Grauer, MD

APRIL 5, 2024

KEY Point: In the United States, there is a limit to the amount of voltage that prehospital ECGs in most EMS ( E mergency M edical ) S ystems are able to display. Once aware of this automatic truncation of ECG amplitudes that is used in most EMS systems in the United States — it becomes EASY to spot ( as shown below in Figure-2 ).

EKG/ECG 236

EKG/ECG EMS Hospitals 236

EMDocs

SEPTEMBER 23, 2023

We’ll keep it short, while you keep that EM brain sharp. Admit symptomatic patients to the hospital for further evaluation and EP studies. The post EM@3AM: Brugada Syndrome appeared first on emDOCs.net - Emergency Medicine Education. A 36-year-old female presents to the ED after experiencing an episode of sudden syncope.

EMS 102

EMS EKG/ECG Documentation/Coding Emergency Department 102

EB Medicine

MARCH 12, 2025

Eckler, MD discuss the March 2025 Emergency Medicine Practice article, Emergency Department Management of Knee Pain Common Etiologies of Knee Pain Risk Factors and Statistics Infectious Causes of Knee Pain Pre-Hospital Care and EMS History and Physical Exam Imaging Guidelines Ottawa Knee Rule and X-Ray Necessity Imaging Modalities for Knee Effusion (..)

Emergency Department 61

Emergency Department Ultrasounds EMS Hospitals 61

EMDocs

JULY 29, 2023

We’ll keep it short, while you keep that EM brain sharp. 2021.3.51501 The post EM@3AM: Suppurative Parotitis appeared first on emDOCs.net - Emergency Medicine Education. A 75-year-old male with past history of HTN, CVA, DM II presents to the emergency department with right facial swelling since last night. Afr J Paediatr Surg.

EMS 90

EMS Dehydration Ultrasounds Emergency Department 90

St. Emlyn

JUNE 23, 2024

St.Emlyn's - Emergency Medicine #FOAMed Background Out-of-hospital cardiac arrest (OHCA) is a leading cause of morbidity and mortality globally, with a survival rate of less than 10% despite emergency medical services (EMS) interventions.

Shock 86

Shock Outcomes Hospitals EMS 86

The Trauma Pro

SEPTEMBER 20, 2024

Getting there includes an obvious problem: what happens when the physician leaves the hospital? Other surgeons may be available in the hospital during the daytime, although they may have other responsibilities keeping them busy. For emergency physicians, there are generally several on duty, so one will not be missed too much.

Hospitals 177

Hospitals EMS Wellness 177

EMDocs

JULY 1, 2023

We’ll keep it short, while you keep that EM brain sharp. Patients should be admitted to the hospital and cardiology consulted early in their course. Kawasaki disease: two case reports from the Aga Khan Hospital, Dar es Salaam-Tanzania. The Royal Children’s Hospital Melbourne. cm, mucous membrane involvement (e.g.

EMS 84

EMS Infectious Diseases Pediatrics Research 84

EMDocs

JUNE 17, 2023

We’ll keep it short, while you keep that EM brain sharp. 2009-1709 The post EM@3AM: Periorbital Cellulitis appeared first on emDOCs.net - Emergency Medicine Education. An 8-year-old boy with no medical history born full term presents with left eyelid swelling for 2 days. swelling, chemosis, fever, etc.), 2021;40(11):969-974.

EMS 91

EMS Infectious Diseases Pediatrics Emergency Department 91

RebelEM

NOVEMBER 18, 2024

CEU Pre-Hospital *Military Discounts Available* View Course Dates The post Levitan/Rezaie Practical Airway Course appeared first on REBEL EM - Emergency Medicine Blog. If you do not have a vehicle, van transport will available from the hotel to the course location (approximately a 5 minute drive). Available Credit: 15.00

Airway Management 71

Airway Management Military Patient Safety Pediatrics 71

Pediatric EM Morsels

NOVEMBER 3, 2023

This allowed US hospitals to stock the drug to ensure quick treatment of suspected severe cases, rather than having to ship it from the CDC under the prior expanded-access protocol (Thomas 2023). For non-complicated malaria use oral Co ART em. PMID: 30666615 The post Imported Malaria appeared first on Pediatric EM Morsels.

Seizures 281

Seizures Pediatrics CDC Infectious Diseases 281

Taming the SRU

JUNE 11, 2023

End-tidal carbon dioxide measured at emergency department triage outperforms standard triage vital signs in predicting in-hospital mortality and intensive care unit admission. Methods This was a prospective observational study enrolling all patients who presented to the ED through the lobby and via EMS.

Hospitals 88

Hospitals Emergency Department EMS Outcomes 88

EM Ottawa

MAY 18, 2023

In the Base Hospital Program (BHP) Corner, we aim to review interesting and evolving topics, as they pertain to the prehospital/paramedicine world. Advances, reviews, and changes to Ontario and local practices, you name […] The post BHP Corner – Out of Hospital Discharge: Pearls and Pitfalls appeared first on EMOttawa Blog.

Hospitals 97

Hospitals EMS 97

The Trauma Pro

OCTOBER 1, 2024

And, of course, some people have used these services for transportation to the hospital instead of an ambulance ride. What might the impact of ride services on patient transport be for both patient and EMS? Ambulance rides are expensive. Depending on region, they may range from $500-$5000.

Ambulance Services 130

Ambulance Services EMS Hospitals 130

Emergency Medicine Journal

DECEMBER 30, 2024

When you think about battles, you think about frontline casualties (an irony given the origins of emergency medicine (EM)) and how there must be sacrifice for the majority to succeed. Is EM the sacrifice for your hospital to succeed? EM is still a relatively new specialty with significant advancements in the last 50 years.

EMS 52

EMS Emergency Department Hospitals 52

Pediatric EM Morsels

APRIL 19, 2024

Hospital versus home management of children with buckle fractures of the distal radius. The post Rebaked Morsel: Pediatric Buckle and Greenstick Forearm Fractures appeared first on Pediatric EM Morsels. J Pediatr Orthop. 2005;25:322–325. Symons S, Rowsell M, Bhowal B, et al. A prospective, randomised trial. J Bone Joint Surg Br.

Fractures 290

Fractures Pediatrics Best Practices Outcomes 290

The Skeptics' Guide to EM

NOVEMBER 25, 2023

Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. Delayed First Medical Contact to Reperfusion Time Increases Mortality in Rural EMS Patients with STEMI. Upon EMS arrival, they find the patient is sweaty with normal vital signs. AEM November 2023. AEM November 2023.

EMS 133

EMS EKG/ECG Research Hospitals 133

Pediatric EM Morsels

JUNE 30, 2023

Congential Cystic Adenomatoid Malformation: A Teritriay Care Hospital Experience. link] PMID: 36553274 The post Congenital Pulmonary Airway Malformation (CPAM) appeared first on Pediatric EM Morsels. Neonatology. Apr 110 (2): 101-15. PMID: 27070354 Mehta AA, Viswanathan N, Vasudevan AK, Paulose, R, Abraham, M. J Clin Diagn Res.

Ultrasounds 284

Ultrasounds Pediatrics Operations EMS 284

Pediatric EM Morsels

JULY 19, 2024

If bleeding has completely stopped, most of these children still come into the hospital for observation so access will likely be necessary and helpful should patient have rebleed event. Even those that are no longer bleeding on arrival, will often require observation in the hospital. Is there active bleeding, clot, or no bleeding ?

Pediatrics 290

Pediatrics Airway Management Wellness Operations 290

RebelEM

AUGUST 21, 2023

Mild Hypercapnia or Normocapnia after Out-of-Hospital Cardiac Arrest. PMID: 37318140 Clinical Question: Does mild hypercapnia in adults with coma who have been resuscitated following out-of-hospital cardiac arrest provide favorable neurological outcomes in 6 months compared to normocapnia? Paper: Eastwood G, et al. N Engl J Med.

Hospitals 92

Hospitals Resuscitation Outcomes CPR 92

The Trauma Pro

AUGUST 9, 2024

He is credited with developing the original EMS programs in both Kansas, where he took his first faculty position out of residency, and in New Orleans, his home for the remainder of his life. He spent his career at the Charity Hospital there, weathering multiple political storms over the years, as well as the big one, Hurricane Katrina.

EMS 147

EMS Hospitals Wellness 147

Emergency Medicine Journal

JULY 22, 2024

Background The outcomes of patients who call an ambulance but are discharged at scene reflect the safety and quality of emergency medical service (EMS) care. Methods This was a retrospective data linkage study on consecutive adult EMS patients discharged at scene by paramedics in Victoria, Australia, between 1 January 2015 and 30 June 2019.

Outcomes 98

Outcomes EMS Hospitals Research 98

Taming the SRU

DECEMBER 11, 2023

PATIENT PRESENTATION A young woman with a past medical history of major depressive disorder presented to the emergency room via EMS for a report of intentional ingestion of an unknown substance. EMS reported that she was vomiting profusely on their arrival to the scene but during transport became increasingly lethargic.

EMS 97

EMS Psychiatric Emergency Department Poisoning 97

The Skeptics' Guide to EM

JULY 2, 2023

He is the Creator and founder of REBEL EM, a free, critical appraisal blog that tries to cut down knowledge translation gaps of […] The post SGEM#408: Hey, I, Oh I’m Still Alive – Is it due to TXA? Prehospital Tranexamic Acid for Severe Trauma. Guest Skeptic: Dr. Salim Rezaie is a community emergency physician in San Antonio, TX.

EMS 140

EMS Outcomes Hospitals Research 140

The Skeptics' Guide to EM

JANUARY 6, 2024

July 2023 Date: Dec 11, 2023 Guest Skeptic: Dr. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Rachel Hatcliffe is a pediatric emergency medicine attending at Children’s National Hospital in Washington, DC. Veterans Affairs and prison hospitals.

Emergency Department 127

Emergency Department Pediatrics Anaphylaxis Leadership 127

ACEP Now

NOVEMBER 8, 2024

Historically, the endotracheal tube (ETT) has been considered the definitive airway of choice in both the prehospital and in-hospital setting. Emergency medical services (EMS) scope of practice is governed by the state, but national scope of practice guidelines are available for the four different EMS provider levels.

Airway Management 40

Airway Management EMS Hospitals Administration 40

First 10 EM

OCTOBER 28, 2024

That being said, despite working in two very busy community hospitals with a high percentage of pediatrics visits, c-spine injuries are just not an issue I struggle with. As with everything that comes out of the PECARN group, this is a huge study, and is therefore one that everyone needs to know about.

Pediatrics 108

Pediatrics Hospitals EMS 108

EMDocs

JUNE 9, 2023

How do we manage the agitated child in the pre-hospital environment? After listening to this episode you will be able to: Identify unique aspects of the pre-hospital environment that impact assessment and treatment of agitated children Describe the role of EMS personnel and EMS director in the care of agitated children.

EMS 95

EMS Documentation/Coding Pediatrics Psychiatric 95